Evidence map›Paper›PMID 41970461›Full record

ArticleCase reports in orthopedics2026

Removal, Refixation, and Augmentation of a Broken Iliosacral Screw: A Percutaneous Surgical Technique.

Nitesh Raj Pandey, Bishwa Bandhu Niraula, Prashanna Dip Karki, Ramesh Aryal, Bibek Banskota

Abstract read
In one paragraph

Article in Case reports in orthopedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nitesh Raj PandeyDepartment of Orthopaedics, Baidya & Banskota Hospital, Gwarko, Lalitpur, Nepal.ORCID https://orcid.org/0009-0008-0913-4159
Bishwa Bandhu NiraulaDepartment of Orthopaedics, Baidya & Banskota Hospital, Gwarko, Lalitpur, Nepal.
Prashanna Dip KarkiDepartment of Orthopaedics, Baidya & Banskota Hospital, Gwarko, Lalitpur, Nepal.
Ramesh AryalDepartment of Orthopaedics, Baidya & Banskota Hospital, Gwarko, Lalitpur, Nepal.
Bibek BanskotaDepartment of Orthopaedics, Baidya & Banskota Hospital, Gwarko, Lalitpur, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The management of a broken iliosacral screw in an anterior-posterior compression (APC)-type pelvic ring injury presents a surgical challenge, particularly in cases requiring removal and refixation without navigation assistance. Objective: This study describes a step-by-step surgical technique for safely removing a fractured S1 cannulated iliosacral screw and replacing it with a larger-diameter screw, supplemented with additional fixation (e.g., S2 screw or iliosacral fixation) to enhance stability. Technique: The procedure involves careful fluoroscopy-guided extraction of the broken screw, followed by reaming and placement of a larger screw for improved fixation. Supplementary stabilization (e.g., S2 screw or transiliac-transsacral fixation) is then added to reinforce the construct. Conclusion: This technique provides a reliable solution for managing broken iliosacral screws in APC pelvic injuries, even without navigation, while optimizing biomechanical stability through larger screw replacement and supplemental fixation.

Indexed as

broken screwfluoroscopy-guided surgeryiliosacral screwpelvic ring injuryrevision fixation

Identifiers

PMID41970461
PMCPMC13067913

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.